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Individual

HUMZA SALEEM MAQBOOL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
725 S WAHANNA RD, SEASIDE, OR 97138-7735
(503) 717-7000
Mailing address
PO BOX 3397, PORTLAND, OR 97208-3397

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD196981
OR
207R00000X
Internal Medicine Physician
MT212992
PA

Other

Enumeration date
09/06/2017
Last updated
02/15/2021
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